儿童难治性肺炎支原体肺炎的诊断及治疗

王延玲

（陕西省延安市洛川县医院儿科，陕西 延安，727400）

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摘要：

目的 探讨儿童难治性肺炎支原体肺炎的临床诊断及治疗方法。方法 回顾性分析洛川县医院收治的24例难治性肺炎支原体肺炎患儿临床资料，总结其诊断及治疗方法。结果 所有患儿伴有发热、咳嗽，有18例患儿入院首次IgM 抗体检测结 果为阳性，有6例在入院1周后第二次IgM抗体检测呈阳性。治疗3~7d后，患儿体温降至正常，治疗7~14d咳嗽明显减 轻。结论 在诊断出儿童难治性肺炎支原体肺炎后，除了运用大环内酯类药物治疗，还可以联合糖皮质激素，以提高临床疗效。

关键词：难治性；肺炎支原体肺炎；大环内酯类药物

中图分类号：R725.6文献标志码：A文章编号：2096-1413(2017)04-0095-02

Diagnosis and treatment of refractory mycoplasma pneumonia in children
WANG Yan-ling
(Department of Pediatrics, Luochuan County Hospital, Yan'an 727400, China)

ABSTRACT: Objective To explore the clinical diagnosis and treatment methods of mycoplasma pneumonia in children with refractory pneumonia. Methods The clinical data of 24 cases of refractory mycoplasma pneumonia in children in Luochuan County Hospital were retrospectively analyzed, and the diagnosis and treatment were summarized. Results All children had fever and cough, the first IgM antibody test of 18 children was positive at admission, the second IgM antibody test of 6 cases was positive in 1 week after admission. The children's temperature dropped to normal after 3-7 days of treatment; cough was significantly relieved after 7-14 days of treatment. Conclusion In addition to using macrolide drug, glucocorticoids can also be combined after refractory mycoplasma pneumonia is diagnosed, which can improve the clinical efficacy.
KEYWORDS: refractory; mycoplasma pneumoniae; macrolide drug

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